Inspection on 07/04/07 for Shieling, The

This inspection was carried out on 7th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Shieling, The 24/01/06

Shieling, The 01/09/05

Shieling, The 08/02/05

Shieling, The 29/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Shieling 286 Southport Road Lydiate Liverpool Merseyside L31 4EQ Lead Inspector Mrs Janet Marshall Key Unannounced Inspection 7th April 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shieling, The Address 286 Southport Road Lydiate Liverpool Merseyside L31 4EQ 0151 531 9791 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Minearch Limited Mrs Pauline Harris Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to include up to 28 OP. The service should employ a suitably qualified and experienced Manager who is registered with the CSCI. Date of last inspection Brief Description of the Service: The Shieling is a purpose-built Residential Home located in a semi-rural environment. It has extensive grounds and farmland to the back. Some of the grounds are given over to car parking. The Home stands on the old Southport to Liverpool road, and has good links with public transport. The Shieling offers permanent residential care for a maximum of 28 residents. All have their own rooms and have access to 2 lounges and a dining room. Staff offer full care and support, promoting independence appropriate to service users capacities, and encourage the involvement of relatives wherever possible. Links with the community enable visits and entertainments to be provided within the Home, and service users are helped to use all local facilities. It costs between £355.50 - £370.00 per week to live at the home. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection. The Commission considers 22 standards for Care Homes for Older People as Key Standards, which have to be inspected during a Key Inspection. The report has been put together using information gathered from a number of sources including information that the commission have received about the service since the last inspection, details provided in the pre-inspection questionnaire and results of surveys. A site visit to the home was also carried out as part of the inspection. Records examined, people’s comments and observations made during the visit have also been used as evidence for the report. People spoken with during the visit, included residents, staff, relatives, a local vicar, a visiting hairdresser, a district nurse, and an aromatherapist. Six residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live at the home and how that person’s needs are being met. What the service does well: Prospective residents are given information about the home and their needs are properly assessed so that they can be sure that it is the right home for them. Available at the home was a care plan for each person, which clearly set out how staff need to meet their health, personal, and social care needs. Care plans have been developed with the full involvement of the resident and or their representative and are regularly reviewed and updated when any changing needs are identified and met. The home offers a wide range of daily and social activities, which match resident’s preferences, interests and needs. Activities include such things as art and craft, musicals, beauty therapy and screen shows. The home has in place appropriate procedures for responding to concerns complaints and for ensuring that residents are safe from abuse, harm or neglect. The commission have not received any complaints about the home since the last inspection. Everybody spoken with during the inspection said that they had been given information about how to make a complaint if they Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 6 needed to. People were confident that their complaints would be listened to and dealt with in the correct way. Staff are provided with ongoing training, which is linked to the needs of the residents and the aims and objectives of the home. Three quarters of care staff have achieved an NVQ Level 2 or above in Care. Ancillary staff have also achieved appropriate NVQs or are in the process of undertaking an award. The manager is Up to date records, policies and procedures, which the service is required to have by law, safeguard Resident’s best interests. The manager ensures high standards of care for residents in a home, which has an atmosphere of openness and respects for the people that choose to live there, their friends, relatives and staff. People spoken with during the inspection made a lot of positive comments. Below are just some examples of what was said, other comments can be found in the main body of the report. “I was given plenty of information about the home” “All the staff are pleasant” “All the staff treat me very well, they are very kind and always polite” “Lots of entertainment” “I watch the big screen” “We have music and movement” ”My room is cleaned daily” “The home is always clean and tidy” “Residents are well looked after” “The staff are very good at their jobs, they are very caring” “The manager has an open door policy, is supportive and one hundred per cent for everybody” “Since becoming manager Pauline has made many positive changes to the benefit of the residents” “The manager is lovely and easy to talk to” “The best manager ever, she runs the home very well” What has improved since the last inspection? What they could do better: This inspection found that all the Key National Minimum standards for Care Homes for Older People, which were inspected, had been met or exceeded. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Key standard 6 does not apply, as the home does not provide intermediate care. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents are given information about the home and their needs are properly assessed so that they can be sure that it is the right home for them. EVIDENCE: The pre-inspection questionnaire showed that a number of new residents have been admitted to the home since the last inspection. Prior to all new residents being admitted to the home the manager carried out a full and proper need assessment. A selection of assessments was looked at in detail. The assessments were detailed and covered things such as personal care, likes and dislikes mobility, communication religion and culture, medication and personal safety. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 10 Assessments and care plans produced by other health and social care services were also available in resident’s files. Discussion took place with a number of residents who have recently been admitted to the home, their comments included: “I came to see the home before I decided to live here” “My family came to see the home” “I visited a few times before moved in” “Pauline came to see me at home and asked about the things I can do and the things I need help with” Discussion also took place with a number of relatives, their comments included: “I came to view the home on behalf of my mother before she moved in” “I was given plenty of information about the home” “My father visited the home a few times and stayed for a meal before deciding to live here” Surveys received from residents showed that they received enough information about the home before deciding if it was the right place for them. Surveys received from relatives and advocates showed that they got enough information about the home to help them make decisions. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident’s needs were clearly set out in an individual plan of care ensuring that they are understood and met. EVIDENCE: Available at the home was a care plan for each of the residents. A selection of care plans was looked at in detail as part of the case tracking process. This showed that the care plans were developed on the basis of need assessments carried out by the home and other health and social care services. The plans, which were well written and organised, set out in detail residents preferred routines and the action to be taken by care staff to ensure that all aspects of their health, personal and social care needs are met. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 12 Care plans that were looked at showed that they are reviewed and up dated at least once a month with the full involvement of residents and/or their representative. A number of residents and relatives spoken with said confirmed their knowledge of care plans and said they were involved in putting them together and in reviewing them. Staff interviewed showed a good understanding of care plans and clearly explained how they use them to support residents on a daily basis. A member of staff said “Care plans are important as they tell us about the person and how best to care for them”. Risk assessments were part of each persons care plan. They have been carried out for tasks and activities which residents are involved in that are likely to pose a risk to them. Risk assessments that were seen as part of case tracking identified potential risks and hazards and detailed the action that staff need to take so that residents are able to take risks safely as part of an independent lifestyle. The risk assessments showed that they have recently been reviewed and updated. Surveys from residents showed that they always receive the medical support that they need. Records showed that residents have access to specialist medical, nursing, dental, chiropody and local GP services of their choice. Residents spoke with said that they can see their GP whenever they wish. The pre-inspection questionnaire detailed the arrangements that are in place at the home to enable residents to access other specialist services such as speech therapists and dieticians. The pre-inspection questionnaire provides details of a number of policies and procedures, which are available at the home, which relate to the health care of residents. They include control, administration, recording, safe keeping, handling and disposal of medication. The administration of breakfast and lunchtime medication was observed during the inspection visit. All medication was administered and recorded correctly by a senior member of staff. Medication and Medication administration records were looked at as part of the inspection, they were in good order. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 13 Throughout the inspection visit staff were observed treating residents with respect. Staff respected resident’s rights to privacy. They were seen knocking on resident’s bedroom doors before entering and carrying out personal care in the privacy of bathrooms and residents own rooms. Staff were observed talking to residents in a polite manner whilst helping them. Residents spoken with during the inspection visit said that staff always treat them well and respect their privacy and dignity. They made the following comments to support this: “All the staff are pleasant” “All the staff treat me very well, they are very kind and always polite” “I think staff are very respectful” “Staff never come in my room without knocking first” A number of visitors that were spoken with during made the following comments about staff: “Staff are very good, they go the extra mile” “All the staff are very good, kind and caring” “I have only ever seen the staff treat residents well” “I see staff knocking on doors before entering rooms occupied by residents” Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home offers a wide range of daily and social activities, which match resident’s preferences, interests and needs. EVIDENCE: Residents notice boards, which were located around the home displayed information about forthcoming events and activities for residents, their friends and family to take part in. Activities and events included, church services, hairdresser, singer, cinema shows and aromatherapy. The hairdresser and aromatherapist were providing a service to a number of residents on the day of the inspection visit. During the inspection discussion took place with a local vicar was visiting a resident. The vicar said that he visits the home regularly to carry out religious services and to chat to residents. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 15 During discussion a number of residents and their relatives made the following comments about activities, which take place at the home: “I enjoy the lady who comes each week to play the piano” “My father and he has aromatherapy sessions which are good for him and he enjoys” “The staff encourage my dad to take part in activities” “I knit, do tapestries attend the art and craft class and go out shopping” Photographs were seen displayed around the home showing residents, staff family and friends enjoying parties there at Christmas and Halloween. The Business Director attends the home each week to facilitate an art and craft session, which is well attended and enjoyed by a number of residents. Pictures, collages and flower arrangements made by residents were displayed in many parts of the home. The Business Director was at the home on the day of the inspection working with residents who were making water colour pictures for the dining room. Resident’s surveys showed that there is always activities arranged by the home that people can take part in. Comments included in surveys included: ”I enjoy handicraft” “I enjoy reading the paper” “There is a music evening” “Lots of entertainment” “I watch the big screen” “We have music and movement” Residents spoken with said that they could get up and go to bed when they chose. Other residents confirmed that they receive visitors and that they can spend time with them in private or in the company of other residents if they wish. Relatives and friends of residents were seen visiting the home at various times throughout the day of the inspection visit. The visitor’s book showed that visitors attend the home daily. All visitors spoken with said that they are always made to feel welcome. All residents spoken with were complimentary of the food served at the home. Comments to support this included: “The food is very good” “We have a good choice of food, the best ever” “The food is always very tasty” “The chef is very good, he makes the best cakes” The menu for the day was clearly displayed in the dining room. Menus included a choice of two hot meals and a dessert for lunch and a choice of hot and cold food for the evening meal. Two residents confirmed that the menu is changed daily. Weekly menus were also available on resident’s notice boards. The menus were presented in clear print and pictures format. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 16 In the morning time a member of staff was seen offering residents a choice of meals for lunch. The member of staff approached this in an unrushed way she sat with the residents chatted for a while before asking what they would like for lunch. A relative said “Each time I visit mum I see the staff asking her and other residents what they want to eat”. The dining room was clean and bright. It has been refurbished since the since the last inspection. Walls have been repainted, new lights fitted and pictures made by residents have been put up on the walls. There were a number of small dining tables, which were attractively laid with table clothes, place mats and newly purchased crockery. Each table displayed a small vase containing fresh flowers. The chef is a qualified confectioner, he said that since the last inspection he has commenced and is progressing well with NVQ Level 3 in professional cookery. He has a number of other relevant qualifications including food hygiene, first aid, diabetes, fire training and protection of vulnerable adults. The chef was seen chatting with residents whilst helping serve their lunch. Lunchtime meal was observed and sampled. The food was nicely served and well presented. It was generous in portions and of good quality. Food was served hot to residents. The atmosphere in the dining room was very pleasant and relaxing. During the meal music chosen by residents was playing in the background, which residents appeared to enjoy. Hot drinks and snacks were served to residents throughout the day. One resident said,” I like my cups of tea, I can have one anytime I only have to ask the staff and they will make me one”. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the homes procedures for responding to concerns and complaints and for ensuring that they are safe from abuse, harm or neglect. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Information provided in the pre-inspection questionnaire and discussion with residents, relative the manager and staff showed that there have been no complaints made at the home in the last 12 months. There was a complaints procedure on display at the home. Residents and relatives spoken with during the inspection said that they have been given information about how to make a complaint and who to complain to and they all said that they would feel confident about making a complaint if they need to. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 18 The following comments supported this: “I have the information about how to complain, I have no complaints” “I have no complaints at all the home is very good, yes I would compalin if I needed to” “I know Pauline would listen to me and sort any problems”. “I was given all the information I need about making a complaint or what to do if I was concerned about something”. “I have never had to complain, yes I would if I was unhappy about something”. Results of surveys completed by a number of residents, relatives and advocates showed that people know who to speak to if they are not happy and that they know how to make a complaint about the care provided at the home. Relatives surveys included the following comments: “There is always someone there to listen to any problems we may have” “No complaints at all, I know if I did they would sort it out properly” Discussion with staff and details provided in the pre-inspection questionaire showed that staff have received protection of vulnerable adults training. During discussion staff showed a good understanding about what they need to do if they witnessed or suspected abuse of a resident. A copy of the local authorities protection of vulnerable adults procedure was avaialbe at the home. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, comfortable home, which is fitted and furnished to a very good standard. EVIDENCE: The Shieling is located in a popular residential area of Lydiate, Merseyside. It has a semi rural position with countryside views whilst also benefiting from being close to the towns of Maghull and Ormskirk. Public transport links are near to the home. Community services and facilities including churches, shops, cafes and community health centres are within close distance of the home. There is a large car park to the side of the building and large garden areas at the back and side. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 20 Both the inside and the outside of the home were maintained to a high standard. The home has a good amount of communal space for residents use. They include two large lounges and a dining area located on the ground floor and a number of smaller sitting areas on other floors. All parts of the home were furnished and decorated to a high standard. The pre-inspection questionnaire detailed a number of improvements carried out at the home since the last inspection. They include the redecoration and replacement of carpets, curtains and fittings to a number of bedrooms, bathrooms and shared rooms. These areas were viewed during the inspection visit. All the work appeared to have been carried out to a high standard. All parts of the home were clean, peasant and hygienic. A housekeeper and a number of other domestic staff work at the home. The housekeeper said that she has all the cleaning materials and equipment that she needs. Domestic staff are undertaking or have completed an NVQ in house keeping. They also complete mandatory training in areas such as health and safety, first aid, fire safety and protection of vulnerable adults. Discussion with staff and records, which were seen during the inspection, evidenced this. Residents spoken with said that their rooms and other parts of the home are always clean and tidy. They made the following comments: ”My room is cleaned daily” “The home is always clean and tidy” Others comments made by residents friends and relatives included: “Yes the home always smells nice” “The staff keep my dads room clean” “I have never seen the home dirty” Surveys from residents showed that the home is always fresh and clean. The laundry, which is located on the ground floor, although quite small it was equipped with sufficient washing and drying machines and ironing facilities. The laundry was clean and well organised. The manager said that she plans to relocate the laundry to a larger room sometime in the future Detailed in the pre-inspection questionnaire and available at the home were a number of policies and procedures, which aim to ensure a clean and safe environment, they include infection control and disposal of soiled waste. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by a highly competent and qualified staff team. EVIDENCE: The staffing rota, which was examined as part of the inspection showed that there are four care staff on duty throughout the day and two staff at night. The manager when on duty is supernumerary to care staff. Four members of staff were interviewed during the inspection. General discussion also took place with a number of other staff at intervals throughout the visit. Staff said that they were enough staff on duty to meet the needs of the residents. Staff interviewed showed a good understanding of their roles and responsibilities, were very knowledgeable about the needs of the residents and showed a real commitment to ensuring that they have a good quality of life. People spoken with during the inspection visit made many positive comments about the staff, comments included. “Staff is very kind and caring” “All the staff are very pleasant” “Residents are well looked after” Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 22 “The staff are very good at their jobs, they are very caring” Surveys from, friends and advocates showed that they think care staff always have the right skills and experience to look after the residents properly. Surveys from residents showed that staff always listen and act on what residents say and are always available when needed. Available at the home was evidence to show that staff complete training to update their knowledge and skills and that the training is linked to the aims and objectives of the home and the needs of the residents. Staff spoken with said that they have completed a lot of training and gave the following examples, health and safety, medication awareness, first aid, communication and lifting and handling. The manager is an NVQ assessor and a qualified trainer in many subjects and has a lot of experience in training care staff. She has developed for each member of staff a training and development portfolio which detail training completed and future training planned for the individual. A selection of these records showed staff have completed the required training and other specialist training to enable them fully meet the needs of the residents. The preinspection questionnaire and staff training records held at the home evidenced that at least half of the staff team have achieved or are currently undertaking a National Vocational Qualification in care level 2 or above. Training planned for the future includes NVQ level 2 and above, all mandatory training courses and specialist training in areas such as dementia, leadership training and customer service. Staff made the following comments “I have been on a lot of courses” “The training helps me in my work” “The manager makes sure that all staff are properly trained” “We are given lots of training opportunities” The pre inspection questionnaire shows that a number of new staff have started work at the home since the last inspection. The new staff have been recruited to increase the staffing levels and to replace staff that have moved on to further their career. Recruitment and selection procedures for a number of new staff were examined. They showed that all the required checks and processes were carried out before the person was allowed to start work at the home. Discussion with staff and records seen showed that all new staff take part in an induction programme during the first part of their employment. The homes induction is based on the National Training Organisation for Social Care (TOPPS). Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed to the benefit of the residents and staff. EVIDENCE: The manager Mrs Harris has a number of relevant qualifications and many years experience of working in the field of care. Records and discussion with the manager showed that she continues to undertake periodic training to update her knowledge, skills and competence whilst managing the home. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 24 This inspection evidenced that the manager ensures high standards of care for residents in a home, which had an atmosphere of openness and respect for residents, their friends and relatives and staff. The following extract was taken from a letter, which was sent to the home by a relative. “We would like to express our appreciation of the high quality of care and caring which the residents of the Shieling are offered by the members of staff under your competent leadership”. All the people spoken with during the inspection were complimentary of the manager and said that the home is run very well. Comments to support this included: “The manager is great, I get on really well with her, and she runs the home very well” “Very caring person” “The manager has an open door policy, is supportive and one hundred per cent for everybody” “Since becoming manager Pauline has made many positive changes to the benefit of the residents” “The manager is lovely and easy to talk to” “The best manager ever, she runs the home very well” As part of the services quality monitoring process questionaires are given out at regular intervals to residents and relatives to seek their views about the home. A number of completed questionaires were viewed during the visit. A number of residents and relatives spoken with during the inspection said that they are asked their views about the home. A book is kept at the entrance of the home for people to make comments compliements and complaints is they so wish. Relatives and friends of people living at the home have sent letters to the manager and staff expressing thanks for their care and support. Below are a number of comments taken from recent letters: “Many thanks for the care you have given” “My mum has always been happy there, and enjoyed the company of staff and other residents” “You gave my dad back his dignity” “You are always pleasant and curteous” Also as part of the homes quality monitoring and in accordance with Regulation 26 of The Care Homes Regulations the registered provider, MrTobin, visits the home each month. During the visits he meets with both residents and staff, carries out a tour of the premises and examines a selection of records. Following the visit Mr Tobin prepares a written report on the conduct of the Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 25 home. Copies of the reports were kept at the home. Both residents and staff said that they have met and spoke with Mr Tobin during his visits to the home. The health safety and welfare of residents are well protected this was supported by a comprehensive set of policies and procedures, which were detailed in the pre-inspection questionnaire and available at the home. Information provided in the pre-inspection questionnaire and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Staff and residents spoken with confirmed that they hear the fire alarm system regularly being tested. Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Shieling, The DS0000005378.V328781.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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